[Code of Federal Regulations]

[Title 42, Volume 3]

[Revised as of October 1, 2005]

From the U.S. Government Printing Office via GPO Access

[CITE: 42CFR460.78]



[Page 426]

 

                         TITLE 42--PUBLIC HEALTH

 

  CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF 

                  HEALTH AND HUMAN SERVICES (CONTINUED)

 

PART 460_PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE)--Table 

of Contents

 

               Subpart E_PACE Administrative Requirements

 

Sec. 460.78  Dietary services.



    (a) Meal requirements. (1) Except as specified in paragraphs (a)(2) 

or (a)(3) of this section, the PACE organization must provide each 

participant with a nourishing, palatable, well-balanced meal that meets 

the daily nutritional and special dietary needs of each participant. 

Each meal must meet the following requirements:

    (i) Be prepared by methods that conserve nutritive value, flavor, 

and appearance.

    (ii) Be prepared in a form designed to meet individual needs.

    (iii) Be prepared and served at the proper temperature.

    (2) The PACE organization must provide substitute foods or 

nutritional supplements that meet the daily nutritional and special 

dietary needs of any participant who has any of the following problems:

    (i) Refuses the food served.

    (ii) Cannot tolerate the food served.

    (iii) Does not eat adequately.

    (3) The PACE organization must provide nutrition support to meet the 

daily nutritional needs of a participant, if indicated by his or her 

medical condition or diagnosis. Nutrition support consists of tube 

feedings, total parenteral nutrition, or peripheral parenteral 

nutrition.

    (b) Sanitary conditions. The PACE organization must do the 

following:

    (1) Procure foods (including nutritional supplements and nutrition 

support items) from sources approved, or considered satisfactory, by 

Federal, State, Tribal, or local authorities with jurisdiction over the 

service area of the organization.

    (2) Store, prepare, distribute, and serve foods (including 

nutritional supplements and nutrition support items) under sanitary 

conditions.

    (3) Dispose of garbage and refuse properly.